逐脉审察者，一成之短。随人变通者，圆机之士也。瘦小之人，气居于表，六脉常带浮洪。肥盛之人，气
歛于中，六脉常带沈数。性急之人，五至方为平脉。性缓之人，四至便作热医。身长之人，下指宜？。身
短之人，下指宜密。北方之人，每见强实。南方之人，每多柔弱。少壮之脉多大。老年之脉多虚。酒后之
脉多数。饭后之脉多洪。远行之脉必疾。久饥之脉必空。室女尼姑多濡弱。婴儿之脉常七至。经曰、形
气相得者生，三五不调者死。其可不察于此乎。
脉者，气血之先，先阴阳之兆，贵得其纲领而提挈之也。左手为阳，右手为阴。关前为阳，关后为阴。浮取
为阳，沈取为阴。躁数为阳，迟慢为阴。有力为阳，无力为阴。长大为阳，短小为阴。明乎此，而脉之大端
已在是矣。故曰、约而言之，只浮沈迟数，已见其梗概。博而致之，虽二十四字，未尽其精详。经曰、知其
要者，一言而终，不知其要，流散无穷。此之谓也。
浮取之候，两关之前，皆阳也。若见紧小短涩之类，是阳不足而阴乘之也。沈取之候，两关之后，皆阴
也。若见洪大数滑，是阴不足而阳乘之也。阴脉之中，阳脉间一见焉，此阴中伏阳也。阳脉之中，阴脉
间一见焉，此阳中伏阴也。阴乖阳者，必恶寒。阳乘阴者，必发热。阴中伏阳者，期于夏。阳中伏阴者期，
于冬。以五行之理推之，而月节可期也。
仔细审察每一种脉象，是固定不变的浅显之见。能够随人体具体情况灵活变通的，才是具备圆融机变的医者。
身形瘦小的人，气机浮越于体表，六部脉象常带有浮洪之象。
身形肥胖的人，气机收敛于体内，六部脉象常带有沉数之象。
性情急躁的人，脉搏一息五至才算是平脉（正常脉象）。
性情舒缓的人，脉搏一息四至便被视为有热证。
身材高大的人，诊脉时手指间距宜宽。
身材矮小的人，诊脉时手指间距宜密。
北方人，脉象多见强实有力。
南方人，脉象多见柔弱无力。
少年壮年人的脉象多盛大。
老年人的脉象多虚弱。
饮酒后的脉象多数动。
进食后的脉象多洪大。
长途跋涉后的脉象必定疾速。
长时间饥饿后的脉象必定空虚。
未婚女子和尼姑的脉象多濡弱。
婴儿的脉象常达七至。
《内经》说：形体与气机相协调的能生存，脉象三五不调的会死亡。对此怎能不加以审察呢？
脉，是气血运行的先导，也是阴阳变化的征兆，诊脉贵在掌握其纲领并提纲挈领地把握它。
左手属阳，右手属阴。
关前（寸部）属阳，关后（尺部）属阴。
轻取（浮取）属阳，重取（沉取）属阴。
躁动快速属阳，迟缓缓慢属阴。
有力属阳，无力属阴。
长大属阳，短小属阴。
明白了这些，脉诊的大致要点就在这里了。所以说，简而言之，仅凭浮、沉、迟、数四种脉象，已可见其大概轮廓。广博而详尽地推究，即使是二十四种脉象，也难以穷尽其精微详备之处。《内经》说：懂得要领的人，一句话就能终结真理；不懂得要领的人，就会流散无穷无尽。说的就是这个道理。
轻取（浮取）时的脉候，两关之前的部位，皆属阳。如果见到紧、小、短、涩等脉象，这是阳气不足而阴气乘虚侵袭的表现。
重取（沉取）时的脉候，两关之后的部位，皆属阴。如果见到洪、大、数、滑等脉象，这是阴气不足而阳气乘虚侵袭的表现。
在阴脉之中，偶尔出现阳脉，这叫作“阴中伏阳”。
在阳脉之中，偶尔出现阴脉，这叫作“阳中伏阴”。
阴气乖逆侵犯阳气者，必然恶寒。
阳气乘袭阴气者，必然发热。
阴中伏阳者，病情多在夏季发作或加重。
阳中伏阴者，病情多在冬季发作或加重。
根据五行之理进行推演，就可以预测发病的月份和节气了。
Carefully examining each pulse type individually is a rigid and superficial approach. One who can adapt flexibly according to the individual is a practitioner with versatile acumen.
In individuals of slender build, Qi resides at the exterior, so the six pulses often present with Floating (Fu) and Surging (Hong) characteristics.
In individuals of robust build, Qi is contained within, so the six pulses often present with Deep (Chen) and Rapid (Shu) characteristics.
For those with an impatient temperament, five beats per respiration constitute a normal pulse (Ping Mai).
For those with a slow temperament, four beats per respiration are considered indicative of Heat syndrome.
For tall individuals, the fingers should be spaced wider when palpating.
For short individuals, the fingers should be placed closer together.
People from the North often exhibit strong and solid pulses.
People from the South often exhibit weak and soft pulses.
Pulses in the young and vigorous tend to be large.
Pulses in the elderly tend to be deficient.
Pulses after drinking alcohol tend to be rapid.
Pulses after eating tend to be surging.
Pulses after long travel must be swift.
Pulses after prolonged fasting must be empty.
Unmarried women and nuns often have Ru (Soft/Weak) and weak pulses.
Infants' pulses often reach seven beats per respiration.
The Classic states: When form and Qi are harmonious, there is life; when the pulse is irregular and discordant, there is death. How can one fail to examine this?
The pulse is the precursor of Qi and Blood, and the omen of Yin and Yang; it is crucial to grasp its general principles and hold them firmly.
The left hand corresponds to Yang, the right hand to Yin.
The position anterior to the Guan (Cun) corresponds to Yang, the position posterior to the Guan (Chi) to Yin.
Light pressure (Floating/Fu) corresponds to Yang, heavy pressure (Deep/Chen) to Yin.
Restless and rapid corresponds to Yang, slow and delayed corresponds to Yin.
Forceful corresponds to Yang, feeble corresponds to Yin.
Long and large corresponds to Yang, short and small corresponds to Yin.
Understanding these points reveals the major aspects of pulse diagnosis. Thus it is said: In brief, merely by observing Floating, Deep, Slow, and Rapid, one can grasp the outline. Expanding comprehensively, even the twenty-four pulse types cannot exhaust their subtleties. The Classic states: He who knows the essentials concludes with one word; he who does not know the essentials wanders endlessly. This is what is meant.
Under light pressure (Floating), the areas anterior to both Guan positions are Yang. If pulses such as Tight (Jin), Small (Xiao), Short (Duan), or Choppy (Se) are seen, this indicates insufficient Yang being invaded by Yin.
Under heavy pressure (Deep), the areas posterior to both Guan positions are Yin. If pulses such as Surging (Hong), Large (Da), Rapid (Shu), or Slippery (Hua) are seen, this indicates insufficient Yin being invaded by Yang.
When a Yang-type pulse appears occasionally among Yin-type pulses, this is called "Yang hidden within Yin" (Yin Zhong Fu Yang).
When a Yin-type pulse appears occasionally among Yang-type pulses, this is called "Yin hidden within Yang" (Yang Zhong Fu Yin).
When Yin rebels against Yang, chills (E Han) will necessarily occur.
When Yang invades Yin, fever (Fa Re) will necessarily occur.
Cases of Yang hidden within Yin are expected to manifest or worsen in Summer.
Cases of Yin hidden within Yang are expected to manifest or worsen in Winter.
By deducing according to the principles of the Five Elements, the specific months and solar terms of onset can be anticipated.